NPI: 1679678767 · BAY CITY, TX 77414 · 261QA1903X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,774 | $75K |
| 2021 | 26,649 | $705K |
| 2022 | 30,418 | $1.10M |
| 2023 | 30,795 | $1.35M |
| 2024 | 11,555 | $637K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | 5,527 | 5,090 | $1.40M | |
| 99283 | 8,161 | 7,803 | $1.26M | |
| 87637 | 1,649 | 1,606 | $204K | |
| C9803 | Hopd covid-19 spec collect | 5,133 | 4,954 | $94K |
| 87651 | 2,598 | 2,532 | $94K | |
| 93005 | 1,485 | 1,324 | $85K | |
| 71045 | 1,396 | 1,299 | $70K | |
| 85025 | 11,818 | 10,316 | $67K | |
| 86901 | 516 | 465 | $66K | |
| 80053 | 7,291 | 6,294 | $46K | |
| 86900 | 491 | 465 | $44K | |
| 87806 | 1,302 | 1,268 | $42K | |
| 96365 | 726 | 568 | $36K | |
| 80307 | 564 | 547 | $36K | |
| 87635 | 986 | 956 | $35K | |
| 96361 | 619 | 529 | $23K | |
| 87088 | 3,043 | 2,829 | $20K | |
| 99285 | 128 | 118 | $19K | |
| 84443 | 1,559 | 1,509 | $15K | |
| 74177 | 82 | 79 | $14K | |
| 87491 | 365 | 355 | $13K | |
| 87591 | 363 | 354 | $13K | |
| 81001 | 5,041 | 4,616 | $12K | |
| 99282 | 83 | 77 | $12K | |
| 96375 | 1,062 | 877 | $12K | |
| 83880 | 1,250 | 1,096 | $11K | |
| 86885 | 1,543 | 1,479 | $9K | |
| 70450 | 214 | 203 | $8K | |
| 96374 | 961 | 846 | $8K | |
| 82306 | 575 | 559 | $7K | |
| 80061 | 1,546 | 1,503 | $7K | |
| 87502 | 89 | 86 | $7K | |
| 86592 | 1,463 | 1,408 | $6K | |
| 83036 | 1,485 | 1,452 | $6K | |
| 0241U | 1,194 | 1,152 | $5K | |
| 87340 | 430 | 410 | $4K | |
| 84484 | 1,197 | 955 | $4K | |
| 99281 | 51 | 51 | $4K | |
| J0696 | Ceftriaxone sodium injection | 249 | 222 | $3K |
| 86762 | 259 | 247 | $3K | |
| 76805 | 27 | 26 | $3K | |
| 81025 | 333 | 319 | $3K | |
| 96360 | 53 | 53 | $3K | |
| 84439 | 309 | 301 | $3K | |
| 80048 | 1,116 | 924 | $3K | |
| 87636 | 20 | 18 | $3K | |
| U0003 | Cov-19 amp prb hgh thruput | 157 | 152 | $2K |
| 96372 | 584 | 495 | $2K | |
| 87653 | 54 | 52 | $2K | |
| 87077 | 610 | 571 | $2K | |
| 87186 | 568 | 532 | $2K | |
| 83690 | 634 | 560 | $2K | |
| 85610 | 856 | 771 | $2K | |
| 85730 | 695 | 662 | $2K | |
| 76815 | 16 | 16 | $2K | |
| 87086 | 304 | 286 | $1K | |
| 82947 | 564 | 369 | $1K | |
| CP008 | 29 | 26 | $1K | |
| 82553 | 391 | 324 | $1K | |
| 83735 | 423 | 377 | $1K | |
| 71046 | 38 | 37 | $919.55 | |
| 82550 | 583 | 475 | $910.63 | |
| 87804 | 46 | 45 | $879.33 | |
| J2405 | Ondansetron hcl injection | 736 | 640 | $843.65 |
| 36415 | 16,551 | 13,532 | $806.59 | |
| J1885 | Ketorolac tromethamine inj | 142 | 134 | $622.13 |
| 87880 | 29 | 28 | $565.80 | |
| 87040 | 84 | 53 | $461.72 | |
| 83655 | 24 | 24 | $343.35 | |
| 84702 | 16 | 12 | $321.54 | |
| 83605 | 82 | 64 | $284.37 | |
| 82950 | 40 | 39 | $213.96 | |
| 84703 | 27 | 24 | $189.26 | |
| 86787 | 12 | 12 | $167.76 | |
| J2270 | Morphine sulfate injection | 172 | 133 | $108.96 |
| 82607 | 17 | 16 | $44.10 | |
| 82728 | 17 | 17 | $39.84 | |
| 82746 | 16 | 15 | $21.49 | |
| 83550 | 16 | 16 | $12.77 | |
| 85652 | 12 | 12 | $10.32 | |
| 83540 | 34 | 32 | $9.45 | |
| P9604 | One-way allow prorated trip | 1,208 | 926 | $0.00 |
| G1004 | Cdsm ndsc | 28 | 27 | $0.00 |
| J2704 | Inj, propofol, 10 mg | 12 | 12 | $0.00 |
| J1100 | Dexamethasone sodium phos | 12 | 12 | $0.00 |